| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.47 | $21.50 | $30.62 | |
BCBS
| Facility | $56.15 | $70.92 | $102.73 | |
BCBS
| Professional | $32.00 | $32.00 | $32.00 | |
Medica
| Facility | $21.25 | $22.58 | $44.72 | |
Medica
| Professional | $24.33 | $47.86 | $283.32 |